CClinicalTrials.gg
CompletedNCT01345240Updated Jul 18, 2019Results posted

Study to Evaluate Immunogenicity of the Hepatitis B Antigen of the GSK Biologicals' Candidate Malaria Vaccine (257049)

A Phase 3 interventional study of GlaxoSmithKline (GSK) Biologicals' candidate Plasmodium falciparum malaria vaccine 257049 and Engerix-B™ vaccine in Malaria and Malaria Vaccines, sponsored by GlaxoSmithKline. Completed at 2 sites in 2 countries. Open to participants aged 8 Weeks to 12 Weeks, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-07-18.

Sponsored by GlaxoSmithKline · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
705
Allocation
Randomized
Ages
8 Weeks to 12 Weeks
Sex
All
01

Study summary

This study has been designed to support the indication of the candidate vaccine (also referred to as GSK 257049 or RTS,S in this record) against hepatitis B virus infection, when administered as a primary vaccination integrated into an Expanded Program on Immunization (EPI) regimen to infants living in sub-Saharan Africa.

02

Conditions studied

  • Malaria
  • Malaria Vaccines

Keywords

  • Africa
  • Plasmodium falciparum
  • Malaria vaccine
  • hepatitis B
  • EPI
03

In context

Hepatitis B

1,656 studies on the registry are indexed under Hepatitis B; 196 are open to participants now.

This study's enrollment of 705 is above the median of 120 across 1,187 interventional studies indexed under Hepatitis B.

Browse Hepatitis B studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,562 studies on the registry; 117 are open to participants now.

Of its 258 completed or terminated interventional studies of FDA-regulated products, 232 (90%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
8 Weeks to 12 Weeks
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

All subjects must satisfy ALL the following criteria at study entry:

  • A male or female infant aged between 8 and 12 weeks inclusive at the time of first vaccination
  • Signed or thumb-printed informed consent obtained from the parent(s)/Legally Acceptable Representative [LAR(s)] of the child. Where parent(s)/LAR(s) are illiterate, the consent form will be countersigned by an independent witness
  • Subjects who the investigator believes that their parent(s)/LAR(s) can and will comply with the requirements of the protocol
  • Healthy subjects as established by medical history and clinical examination before entering into the study
  • Born to a mother who is Hepatitis B surface antigen (HBsAg) negative
  • Born to a mother who is Human Immunodeficiency Virus (HIV) negative
  • Born after a normal gestation period of 36 to 42 weeks inclusive.

Exclusion criteria

Exclusion Criteria:

The following criteria should be checked at the time of study entry. If ANY exclusion criterion applies, the subject must not be included in the study:

  • Child in care
  • Acute disease and/or fever at the time of enrolment
  • Serious acute or chronic illness determined by clinical or physical examination and laboratory screening tests
  • Laboratory screening tests out of range
  • Previous vaccination with diphtheria, tetanus, pertussis, Haemophilus influenzae type b, Streptococcus pneumoniae, hepatitis B vaccine or rotavirus vaccines.
  • Planned administration/administration of a licensed vaccine not foreseen by the study protocol within 7 days of the first dose of study vaccine.
  • Use of a drug or vaccine that is not approved for that indication other than the study vaccines within 30 days preceding the first dose of study vaccine, or planned use during the study period.
  • Administration of immunoglobulins and/or any blood products in the period between birth and Dose 1 and within the three months preceding planned vaccine administration during the study period.
  • Chronic administration of immunosuppressants or other immune-modifying drugs in the period between birth and Dose 1.
  • Concurrently participating in another clinical study at any time during the study period, in which the subject has been or will be exposed to an investigational or a non-investigational product.
  • Same sex twin
  • Maternal death
  • History of allergic reactions or anaphylaxis to previous immunizations.
  • History of allergic disease or reactions likely to be exacerbated by any component of the vaccine.
  • Any other findings that the investigator feels would increase the risk of having an adverse outcome from participation in the trial.
  • Any other findings that the investigator feels would result in data collected being incomplete or of poor quality.
  • Previous participation in any other malaria vaccine trial.
05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
705 participants (actual)

Study arms

  • Experimental
    RTS,S Regimen A Lot 1 Group

    Subjects, healthy male and female infants between 8 and 12 weeks of age inclusive at the time of first vaccination, received the RTS,S Vaccination Regimen A, with the RTS,S vaccine administered in its Lot 1 formulation. This RTS,S Vaccination Regimen A included 3 doses of RTS,S vaccine, Lot 1, co-administered with Infanrix™-Hib, Polio Sabin™ and Synflorix™, at Weeks 0, 4 and 8, and 2 doses of Rotarix™ vaccine, at Weeks 6 and 10. Additionally, subjects also received one dose of vaccine against yellow fever and against measles, at Week 32, and one booster dose of Infanrix™-Hib and Synflorix™, at Month 16, and one booster dose of Engerix B™ vaccine, at Month 50. The RTS,S vaccine and Engerix B™ were administered intramuscularly (IM) in the left anterolateral thigh, Infanrix™-Hib IM in the right deltoid, Synflorix™ IM in the right anterolateral thigh, and Rotarix™ and Polio Sabin™ orally. The measles and yellow fever vaccines were administered IM in the deltoid.

    Biological: GlaxoSmithKline (GSK) Biologicals' candidate Plasmodium falciparum malaria vaccine 257049 · Biological: Engerix-B™ vaccine · Biological: Infanrix/Hib™ vaccine · Biological: Polio Sabin™ vaccine · Biological: Rotarix™ vaccine · Biological: Synflorix™ vaccine · Biological: Measles vaccine · Biological: Yellow fever vaccine

  • Experimental
    RTS,S Regimen A Lot 2 Group

    Subjects, healthy male and female infants between 8 and 12 weeks of age inclusive at the time of first vaccination, received the RTS,S Vaccination Regimen A, with the RTS,S vaccine administered in its Lot 2 formulation. This RTS,S Vaccination Regimen A included 3 doses of RTS,S vaccine, Lot 2, co-administered with Infanrix™-Hib, Polio Sabin™ and Synflorix™, at Weeks 0, 4 and 8, and 2 doses of Rotarix™ vaccine, at Weeks 6 and 10. In addition, subjects also received one dose of vaccine against yellow fever and against measles, at Week 32, and one booster dose of Infanrix™-Hib and Synflorix™, at Month 16, and one booster dose of Engerix B™ vaccine, at Month 50. The RTS,S vaccine and Engerix B™ were administered intramuscularly (IM) in the left anterolateral thigh, Infanrix™-Hib IM in the right deltoid, Synflorix™ IM in the right anterolateral thigh, and Rotarix™ and Polio Sabin™ orally. The measles and yellow fever vaccines were administered IM in the deltoid.

    Biological: GlaxoSmithKline (GSK) Biologicals' candidate Plasmodium falciparum malaria vaccine 257049 · Biological: Engerix-B™ vaccine · Biological: Infanrix/Hib™ vaccine · Biological: Polio Sabin™ vaccine · Biological: Rotarix™ vaccine · Biological: Synflorix™ vaccine · Biological: Measles vaccine · Biological: Yellow fever vaccine

  • Experimental
    RTS,S Regimen A Lot 3 Group

    Subjects, healthy male and female infants between 8 and 12 weeks of age inclusive at the time of first vaccination, received the RTS,S Vaccination Regimen A, with the RTS,S vaccine administered in its Lot 3 formulation. This RTS,S Vaccination Regimen A included 3 doses of RTS,S vaccine, Lot 3, co-administered with Infanrix™-Hib, Polio Sabin™ and Synflorix™, at Weeks 0, 4 and 8, and 2 doses of Rotarix™ vaccine, at Weeks 6 and 10. Additionally, subjects also received one dose of vaccine against yellow fever and against measles, at Week 32, and one booster dose of Infanrix™-Hib and Synflorix™, at Month 16, and one booster dose of Engerix B™ vaccine, at Month 50. The RTS,S vaccine and Engerix B™ were administered intramuscularly (IM) in the left anterolateral thigh, Infanrix™-Hib IM in the right deltoid, Synflorix™ IM in the right anterolateral thigh, and Rotarix™ and Polio Sabin™ orally. The measles and yellow fever vaccines were administered IM in the deltoid.

    Biological: GlaxoSmithKline (GSK) Biologicals' candidate Plasmodium falciparum malaria vaccine 257049 · Biological: Engerix-B™ vaccine · Biological: Infanrix/Hib™ vaccine · Biological: Polio Sabin™ vaccine · Biological: Rotarix™ vaccine · Biological: Synflorix™ vaccine · Biological: Measles vaccine · Biological: Yellow fever vaccine

  • Experimental
    RTS,S Regimen B Lot 1 Group

    Subjects, healthy male and female infants between 8 and 12 weeks of age inclusive at the time of first vaccination, received the RTS,S Vaccination Regimen B, with the RTS,S vaccine administered in its Lot 1 formulation. This RTS,S Vaccination Regimen B included 3 doses of RTS,S vaccine, Lot 1, co-administered with Infanrix™-Hib and Polio Sabin™, at Weeks 0, 4 and 8, 2 doses of Rotarix™, at Weeks 4 and 8, and 3 doses of Synflorix™ at Weeks 2, 6 and 10. Additionally, subjects also received one dose of vaccine against yellow fever and against measles, at Week 32, and one booster dose of Infanrix™-Hib and Synflorix™, at Month 16, and one booster dose of Engerix B™ vaccine, at Month 50. The RTS,S vaccine and Engerix B™ were administered intramuscularly (IM) in the left anterolateral thigh, Infanrix™-Hib IM in the right deltoid, Synflorix™ IM in the right anterolateral thigh, and Rotarix™ and Polio Sabin™ orally. The measles and yellow fever vaccines were administered IM in the deltoid.

    Biological: GlaxoSmithKline (GSK) Biologicals' candidate Plasmodium falciparum malaria vaccine 257049 · Biological: Engerix-B™ vaccine · Biological: Infanrix/Hib™ vaccine · Biological: Polio Sabin™ vaccine · Biological: Rotarix™ vaccine · Biological: Synflorix™ vaccine · Biological: Measles vaccine · Biological: Yellow fever vaccine

  • Experimental
    RTS,S Regimen B Lot 2 Group

    Subjects, healthy male and female infants between 8 and 12 weeks of age inclusive at the time of first vaccination, received the RTS,S Vaccination Regimen B, with the RTS,S vaccine administered in its Lot 2 formulation. This RTS,S Vaccination Regimen B included 3 doses of RTS,S vaccine, Lot 2, co-administered with Infanrix™-Hib and Polio Sabin™, at Weeks 0, 4 and 8, 2 doses of Rotarix™, at Weeks 4 and 8, and 3 doses of Synflorix™ at Weeks 2, 6 and 10. Additionally, subjects also received one dose of vaccine against yellow fever and against measles, at Week 32, and one booster dose of Infanrix™-Hib and Synflorix™, at Month 16, and one booster dose of Engerix B™ vaccine, at Month 50. The RTS,S vaccine and Engerix B™ were administered intramuscularly (IM) in the left anterolateral thigh, Infanrix™-Hib IM in the right deltoid, Synflorix™ IM in the right anterolateral thigh, and Rotarix™ and Polio Sabin™ orally. The measles and yellow fever vaccines were administered IM in the deltoid.

    Biological: GlaxoSmithKline (GSK) Biologicals' candidate Plasmodium falciparum malaria vaccine 257049 · Biological: Engerix-B™ vaccine · Biological: Infanrix/Hib™ vaccine · Biological: Polio Sabin™ vaccine · Biological: Rotarix™ vaccine · Biological: Synflorix™ vaccine · Biological: Measles vaccine · Biological: Yellow fever vaccine

  • Experimental
    RTS,S Regimen B Lot 3 Group

    Subjects, healthy male and female infants between 8 and 12 weeks of age inclusive at the time of first vaccination, received the RTS,S Vaccination Regimen B, with the RTS,S vaccine administered in its Lot 3 formulation. This RTS,S Vaccination Regimen B included 3 doses of RTS,S vaccine, Lot 3, co-administered with Infanrix™-Hib and Polio Sabin™, at Weeks 0, 4 and 8, 2 doses of Rotarix™, at Weeks 4 and 8, and 3 doses of Synflorix™ at Weeks 2, 6 and 10. Additionally, subjects also received one dose of vaccine against yellow fever and against measles, at Week 32, and one booster dose of Infanrix™-Hib and Synflorix™, at Month 16, and one booster dose of Engerix B™ vaccine, at Month 50. The RTS,S vaccine and Engerix B™ were administered intramuscularly (IM) in the left anterolateral thigh, Infanrix™-Hib IM in the right deltoid, Synflorix™ IM in the right anterolateral thigh, and Rotarix™ and Polio Sabin™ orally. The measles and yellow fever vaccines were administered IM in the deltoid.

    Biological: GlaxoSmithKline (GSK) Biologicals' candidate Plasmodium falciparum malaria vaccine 257049 · Biological: Engerix-B™ vaccine · Biological: Infanrix/Hib™ vaccine · Biological: Polio Sabin™ vaccine · Biological: Rotarix™ vaccine · Biological: Synflorix™ vaccine · Biological: Measles vaccine · Biological: Yellow fever vaccine

  • Experimental
    RTS,S Regimen C Lot 1 Group

    Subjects, healthy male and female infants between 8 and 12 weeks of age inclusive at the time of first vaccination, received the RTS,S Vaccination Regimen C, with the RTS,S vaccine administered in its Lot 1 formulation. This RTS,S Vaccination Regimen C included 3 doses of RTS,S vaccine, Lot 1, co-administered with Infanrix™-Hib and Polio Sabin™, at Weeks 0, 4 and 8, 2 doses of Rotarix™, at Weeks 6 and 10, and 3 doses of Synflorix™ at Weeks 2, 6 and 10. Additionally, subjects also received one dose of vaccine against yellow fever and against measles, at Week 32, and one booster dose of Infanrix™-Hib and Synflorix™, at Month 16, and one booster dose of Engerix B™ vaccine, at Month 50. The RTS,S vaccine and Engerix B™ were administered intramuscularly (IM) in the left anterolateral thigh, Infanrix™-Hib IM in the right deltoid, Synflorix™ IM in the right anterolateral thigh, and Rotarix™ and Polio Sabin™ orally. The measles and yellow fever vaccines were administered IM in the deltoid.

    Biological: GlaxoSmithKline (GSK) Biologicals' candidate Plasmodium falciparum malaria vaccine 257049 · Biological: Engerix-B™ vaccine · Biological: Infanrix/Hib™ vaccine · Biological: Polio Sabin™ vaccine · Biological: Rotarix™ vaccine · Biological: Synflorix™ vaccine · Biological: Measles vaccine · Biological: Yellow fever vaccine

  • Experimental
    RTS,S Regimen C Lot 2 Group

    Subjects, healthy male and female infants between 8 and 12 weeks of age inclusive at the time of first vaccination, received the RTS,S Vaccination Regimen C, with the RTS,S vaccine administered in its Lot 2 formulation. This RTS,S Vaccination Regimen C included 3 doses of RTS,S vaccine, Lot 2, co-administered with Infanrix™-Hib and Polio Sabin™, at Weeks 0, 4 and 8, 2 doses of Rotarix™, at Weeks 6 and 10, and 3 doses of Synflorix™ at Weeks 2, 6 and 10. Additionally, subjects also received one dose of vaccine against yellow fever and against measles, at Week 32, and one booster dose of Infanrix™-Hib and Synflorix™, at Month 16, and one booster dose of Engerix B™ vaccine, at Month 50. The RTS,S vaccine and Engerix B™ were administered intramuscularly (IM) in the left anterolateral thigh, Infanrix™-Hib IM in the right deltoid, Synflorix™ IM in the right anterolateral thigh, and Rotarix™ and Polio Sabin™ orally. The measles and yellow fever vaccines were administered IM in the deltoid.

    Biological: GlaxoSmithKline (GSK) Biologicals' candidate Plasmodium falciparum malaria vaccine 257049 · Biological: Engerix-B™ vaccine · Biological: Infanrix/Hib™ vaccine · Biological: Polio Sabin™ vaccine · Biological: Rotarix™ vaccine · Biological: Synflorix™ vaccine · Biological: Measles vaccine · Biological: Yellow fever vaccine

  • Experimental
    RTS,S Regimen C Lot 3 Group

    Subjects, healthy male and female infants between 8 and 12 weeks of age inclusive at the time of first vaccination, received the RTS,S Vaccination Regimen C, with the RTS,S vaccine administered in its Lot 3 formulation. This RTS,S Vaccination Regimen C included 3 doses of RTS,S vaccine, Lot 3, co-administered with Infanrix™-Hib and Polio Sabin™, at Weeks 0, 4 and 8, 2 doses of Rotarix™, at Weeks 6 and 10, and 3 doses of Synflorix™ at Weeks 2, 6 and 10. Additionally, subjects also received one dose of vaccine against yellow fever and against measles, at Week 32, and one booster dose of Infanrix™-Hib and Synflorix™, at Month 16, and one booster dose of Engerix B™ vaccine, at Month 50. The RTS,S vaccine and Engerix B™ were administered intramuscularly (IM) in the left anterolateral thigh, Infanrix™-Hib IM in the right deltoid, Synflorix™ IM in the right anterolateral thigh, and Rotarix™ and Polio Sabin™ orally. The measles and yellow fever vaccines were administered IM in the deltoid.

    Biological: GlaxoSmithKline (GSK) Biologicals' candidate Plasmodium falciparum malaria vaccine 257049 · Biological: Engerix-B™ vaccine · Biological: Infanrix/Hib™ vaccine · Biological: Polio Sabin™ vaccine · Biological: Rotarix™ vaccine · Biological: Synflorix™ vaccine · Biological: Measles vaccine · Biological: Yellow fever vaccine

  • Active comparator
    Engerix B Regimen A Group

    Subjects, healthy male and female infants between 8 and 12 weeks of age inclusive at the time of first vaccination, received the Engerix-B Vaccination Regimen A. This regimen included 3 doses of Engerix B™ co-administered with Infanrix™-Hib, Polio Sabin™ and Synflorix™ at Weeks 0, 4 and 8, and 2 doses of Rotarix™, at Weeks 6 and 10. Additionally, subjects also received one dose of vaccine against yellow fever and against measles, at Week 32, and one booster dose of Infanrix™-Hib and Synflorix™, at Month 16, and one booster dose of Engerix B™ vaccine, at Month 50. Engerix B™ was administered intramuscularly (IM) in the left anterolateral thigh, Infanrix™-Hib IM in the right deltoid, Synflorix™ IM in the right anterolateral thigh, and Rotarix™ and Polio Sabin™ orally. The measles and yellow fever vaccines were administered IM in the deltoid.

    Biological: Engerix-B™ vaccine · Biological: Infanrix/Hib™ vaccine · Biological: Polio Sabin™ vaccine · Biological: Rotarix™ vaccine · Biological: Synflorix™ vaccine · Biological: Measles vaccine · Biological: Yellow fever vaccine

  • Active comparator
    Engerix B Regimen B Group

    Subjects, healthy male and female infants between 8 and 12 weeks of age inclusive at the time of first vaccination, received the Engerix-B Vaccination Regimen B. This regimen included 3 doses of Engerix B™ co-administered with Infanrix™-Hib and Polio Sabin™, at Weeks 0, 4 and 8, 2 doses of Rotarix™ vaccine, at Weeks 4 and 8, and 3 doses of Synflorix™ at Weeks 2, 6 and 10. Additionally, subjects also received one dose of vaccine against yellow fever and against measles, at Week 32, and one booster dose of Infanrix™-Hib and Synflorix™, at Month 16, and one booster dose of Engerix B™ vaccine, at Month 50. Engerix B™ was administered intramuscularly (IM) in the left anterolateral thigh, Infanrix™-Hib IM in the right deltoid, Synflorix™ IM in the right anterolateral thigh, and Rotarix™ and Polio Sabin™ orally. The measles and yellow fever vaccines were administered IM in the deltoid.

    Biological: Engerix-B™ vaccine · Biological: Infanrix/Hib™ vaccine · Biological: Polio Sabin™ vaccine · Biological: Rotarix™ vaccine · Biological: Synflorix™ vaccine · Biological: Measles vaccine · Biological: Yellow fever vaccine

Interventions

  • BiologicalGlaxoSmithKline (GSK) Biologicals' candidate Plasmodium falciparum malaria vaccine 257049

    Children enrolled in 9 groups will receive 3 doses of the candidate malaria vaccine (Lot 1, 2 and 3) by intramuscular injection.

  • BiologicalEngerix-B™ vaccine

    Children enrolled in 2 groups will receive 4 doses of Engerix-B™ vaccine by intramuscular injection. Children enrolled in all other groups will receive one dose of Engerix-B vaccine by intramuscular injection.

  • BiologicalInfanrix/Hib™ vaccine

    Children enrolled in all 11 groups will receive 4 doses of Infanrix/Hib™ vaccine by intramuscular injection

  • BiologicalPolio Sabin™ vaccine

    Children enrolled in all 11 groups will receive 3 doses of Polio Sabin™ by intramuscular injection.

  • BiologicalRotarix™ vaccine

    Children enrolled in all 11 groups will receive 2 doses of oral Rotarix™ vaccine.

  • BiologicalSynflorix™ vaccine

    Children enrolled in all 11 groups will receive 4 doses of Synflorix™ vaccine by intramuscular injection.

  • BiologicalMeasles vaccine

    Children enrolled in all 11 groups will receive 1 dose of measles vaccine by intramuscular injection.

  • BiologicalYellow fever vaccine

    Children enrolled in all 11 groups will receive 1 dose of yellow fever vaccine by intramuscular injection.

06

What researchers measure

Primary outcomes

  1. Percentage of Seroprotected Subjects Against Anti-Hepatitis B (HBs) Antigen

    A seroprotected subject was defined as a subject with anti-HBs antibody titers greater than or equal to (\>=) the cut-off of 10 mili-international units per mililiter (mIU/mL). A decrease in the specificity of the anti-HBs ELISA assay had been observed in some studies for low levels of antibody (10-100 mIU/mL). The table shows updated results following partial or complete retesting/reanalysis, with study groups pooled by primary vaccine administered (RTS,S vs Engerix -B).

    Time frame: At Month 3, aka at one month post Dose 3 of RTS,S vaccine or Engerix-B

  2. Anti-Hepatitis B (HBs) Antibody Concentrations for RTS,S Group and Engerix B Group

    Concentrations, by enzyme-linked immunosorbent assay (ELISA), were presented as geometric mean concentrations (GMCs), and expressed in milli-international units per milliliter (mIU/mL). The assay cut-off was the seropositivity cut-off value of greater than or equal to (\>=) 10 mIU/mL. A decrease in the specificity of the anti-HBs ELISA assay had been observed in some studies for low levels of antibody (10-100 mIU/mL). The table shows updated results following partial or complete retesting/reanalysis, with study groups pooled by primary vaccine administered (RTS,S vs Engerix-B).

    Time frame: At Month 3, aka at one month post Dose 3 of RTS,S vaccine or Engerix-B

  3. Anti-Hepatitis B (HBs) Antibody Concentrations for All Study Groups

    Concentrations, by enzyme-linked immunosorbent assay (ELISA), were presented as geometric mean concentrations (GMCs), and expressed in milli-international units per milliliter (mIU/mL). The assay cut-off was the seropositivity cut-off value of greater than or equal to (\>=) 10 mIU/mL. A decrease in the specificity of the anti-HBs ELISA assay had been observed in some studies for low levels of antibody (10-100 mIU/mL). The table shows updated results following partial or complete retesting/reanalysis, for each RTS,S Regimen A, B, C and each Engerix B Regimen A and B study groups.

    Time frame: At Month 3, aka at one month post Dose 3 of RTS,S vaccine or Engerix-B

Secondary outcomes

  1. Anti-Hepatitis B (HBs) Antibody Concentrations at Month 3

    Concentrations, by enzyme-linked immunosorbent assay (ELISA), were presented as geometric mean concentrations (GMCs), and expressed in milli-international units per milliliter (mIU/mL). The assay cut-off was the seropositivity cut-off value of greater than or equal to (\>=) 10 mIU/mL. A decrease in the specificity of the anti-HBs ELISA assay had been observed in some studies for low levels of antibody (10-100 mIU/mL). The table shows updated results following partial or complete retesting/reanalysis. Results presented are for the study groups receiving the RTS,S vaccine, pooled by vaccine lot, that is, for the RTS,S Lot 1, RTS,S Lot 2, and RTS,S Lot 3 groups, as defined below.

    Time frame: At Month 3, aka at one month post Dose 3 of RTS,S vaccine or Engerix-B

  2. Anti-Hepatitis B (HBs) Antibody Concentrations at Month 14 and 26

    Concentrations, by enzyme-linked immunosorbent assay (ELISA), were presented as geometric mean concentrations (GMCs), and expressed in milli-international units per milliliter (mIU/mL). The assay cut-off was the seropositivity cut-off value of greater than or equal to (\>=) 10 mIU/mL. A decrease in the specificity of the anti-HBs ELISA assay had been observed in some studies for low levels of antibody (10-100 mIU/mL). The table shows updated results following partial or complete retesting/reanalysis. Results presented are for each RTS,S Regimen A, B \& C, and for each Engerix B Regimen A \& B study groups.

    Time frame: At Months 14 and 26, aka at 12 and 24 months post Dose 3 of RTS,S vaccine or Engerix-B

  3. Anti-Hepatitis B (HBs) Antibody Concentrations at Month 38, 50 and 51

    Concentrations, by enzyme-linked immunosorbent assay (ELISA), were presented as geometric mean concentrations (GMCs), and expressed in milli-international units per milliliter (mIU/mL). The assay cut-off was the seropositivity cut-off value of greater than or equal to (\>=) 10 mIU/mL. A decrease in the specificity of the anti-HBs ELISA assay had been observed in some studies for low levels of antibody (10-100 mIU/mL). The table shows updated results following partial or complete retesting/reanalysis. Results presented are for each RTS,S Regimen A, B \& C, and for each Engerix B Regimen A \& B study groups.

    Time frame: At Months 38, 50 and 51, aka 36 and 48 months post Dose 3 of RTS,S vaccine or Engerix-B and one month post the Month 50 booster dose of Engerix-B

  4. Concentrations of Antibodies to the Hepatitis B RF1 Surface Antigen (Anti-HBs RF1) at Month 3

    Anti-HBs RF1 antibody concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and presented as geometric mean concentrations (GMCs) expressed in ELISA units per milliliter (EL.U/mL). The assay cut-off was the seropositivity cut-off value of greater than or equal to (\>=) 33 EL.U/mL. The table shows results for each RTS,S Regimen A, B \& C, and for each Engerix B Regimen A \& B study groups.

    Time frame: At Month 3, aka at one month post Dose 3 of RTS,S vaccine or Engerix-B

  5. Concentrations of Antibodies to the Hepatitis B RF1 Surface Antigen (Anti-HBs RF1) at Month 51

    Anti-HBs RF1 antibody concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and presented as geometric mean concentrations (GMCs) expressed in ELISA units per milliliter (EL.U/mL). The assay cut-off was the seropositivity cut-off value of greater than or equal to (\>=) 33 EL.U/mL. The table shows results for each RTS,S Regimen A, B \& C, and for each Engerix B Regimen A \& B study groups.

    Time frame: At Month 51, aka one month post the Month 50 booster dose of Engerix-B

  6. Anti-circumsporozoite Protein (Anti-CS) Antibody Concentrations at Month 3

    Anti-CS antibody concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and presented as geometric mean concentrations (GMCs) expressed in ELISA units per milliliter (EL.U/mL). The assay cut-off was the seropositivity cut-off value of greater than or equal to (\>=) 0.5 EL.U/mL. The table shows results for each RTS,S Regimen A, B \& C, and for each Engerix B Regimen A \& B study groups.

    Time frame: At Month 3, aka at one month post Dose 3 of RTS,S vaccine or Engerix-B

  7. Anti-circumsporozoite Protein (Anti-CS) Antibody Concentrations at Month 14

    Anti-CS antibody concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and presented as geometric mean concentrations (GMCs) expressed in ELISA units per milliliter (EL.U/mL). The assay cut-off was the seropositivity cut-off value of greater than or equal to (\>=) 0.5 EL.U/mL. The table shows results for each RTS,S Regimen A, B \& C, and for each Engerix B Regimen A \& B study groups. No anti-CS results are available for the time point 24 months post Dose 3 (Month 26) because the quantity of serum available for the anti-CS assay was insufficient for many samples.

    Time frame: At Month 14, aka at 12 months post Dose 3 of RTS,S vaccine or Engerix-B

  8. Anti-circumsporozoite Protein (Anti-CS) Antibody Concentrations at Month 38 and 50

    Anti-CS antibody concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and presented as geometric mean concentrations (GMCs) expressed in ELISA units per milliliter (EL.U/mL). The assay cut-off was the seropositivity cut-off value of greater than or equal to (\>=) 1.9 EL.U/mL. The table shows results for each RTS,S Regimen A, B \& C, and for each Engerix B Regimen A \& B study groups.

    Time frame: At Months 38 and 50, aka 36 and 48 months post Dose 3 of RTS,S vaccine or Engerix-B

  9. Pneumococcal Antibody Concentrations Against Synflorix Pneumococcal Vaccine Serotypes at Month 3

    Antibody concentrations were measured by enzyme-linked immunosorbent assay (ELISA), and expressed as geometric mean concentrations (GMCs), in micrograms per milliliter (µg/mL). The pneumococcal vaccine serotypes assessed were the serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F. The cut-off of the assay, by GSK assay, was greater than or equal to (\>=) 0.2 µg/mL. This corresponds to the standard ELISA value of 0.35 μg/mL. This outcome concerns the subjects who received the RTS,S or Engerix-B vaccine co-administered with Synflorix. Results presented are for the study groups pooled by co-administration, that is, for the RTS,S Regimen A and Engerix-B Regimen A groups.

    Time frame: At Month 3, aka at one month post Dose 3 of Synflorix

  10. Pneumococcal Antibody Concentrations Against Synflorix Pneumococcal Vaccine Serotypes at Month 17

    Antibody concentrations were measured by GSK assay, and expressed as geometric mean concentrations (GMCs), in micrograms per milliliter (µg/mL). The pneumococcal vaccine serotypes assessed were the serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F. The cut-off of the assay, by GSK assay, was greater than or equal to (\>=) 0.2 μg/mL. This corresponds to the standard ELISA value of 0.35 μg/mL. This outcome concerns the subjects who received the RTS,S or Engerix -B vaccine co-administered with Synflorix. Results presented are for the study groups pooled by co-administration, that is, for the RTS,S Regimen A and Engerix -B Regimen A groups.

    Time frame: At Month 17, aka one month post the Month 16 booster dose of Synflorix

  11. Titers for Opsonophagocytic Activity Against Synflorix Pneumococcal Vaccine Serotypes at Month 3

    The pneumococcal vaccine serotypes assessed were the serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F. Streptococcus pneumoniae opsonophagocytic activity was presented as the dilution of serum (opsonic titer) able to sustain 50 % killing of live pneumococci under the assay conditions, expressed as geometric mean titers (GMTs). The cut-off of the assay was an opsonic dilution \>= 8. This outcome concerns the subjects who received the RTS,S or Engerix-B vaccine co-administered with Synflorix. Results presented are for the study groups pooled by co-administration, that is, for the RTS,S Regimen A and Engerix-B Regimen A groups.

    Time frame: At Month 3, aka at one month (1M) post Dose 3 of Synflorix

  12. Titers for Opsonophagocytic Activity Against Synflorix Pneumococcal Vaccine Serotypes at Month 17

    The pneumococcal vaccine serotypes assessed were the serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F. Streptococcus pneumoniae opsonophagocytic activity was presented as the dilution of serum (opsonic titer) able to sustain 50 % killing of live pneumococci under the assay conditions, expressed as geometric mean titers (GMTs). The cut-off of the assay was an opsonic dilution \>= 8. This outcome concerns the subjects who received the RTS,S or Engerix -B vaccine co-administered with Synflorix . Results presented are for the study groups pooled by co-administration, that is, for the RTS,S Regimen A and Engerix -B Regimen A groups.

    Time frame: At Month 17, aka one month post the Month 16 booster dose of Synflorix

  13. Anti-protein D (PD) Antibody Concentrations at Month 3

    Anti-PD antibody concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and expressed as geometric mean concentrations (GMCs), in ELISA units per milliliter (EL.U/mL). The cut-off of the assay was the seropositivity cut-off value of greater than or equal to 100 EL.U/mL. This outcome concerns the subjects who received the RTS,S or Engerix-B vaccine co-administered with Synflorix. Results presented are for the study groups pooled by co-administration, that is, for the RTS,S Regimen A and Engerix-B Regimen A groups.

    Time frame: At Month 3, aka at one month post Dose 3 of Synflorix

  14. Anti-protein D (PD) Antibody Concentrations at Month 17

    Anti-PD antibody concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and expressed as geometric mean concentrations (GMCs), in ELISA units per milliliter (EL.U/mL). The cut-off of the assay was the seropositivity cut-off value of greater than or equal to 100 EL.U/mL. This outcome concerns the subjects who received the RTS,S or Engerix -B vaccine co-administered with Synflorix. Results presented are for the study groups pooled by co-administration, that is, for the RTS,S Regimen A and Engerix -B Regimen A groups.

    Time frame: At Month 17, aka one month post the Month 16 booster dose of Synflorix

  15. Concentrations of Antibodies Against Acellular B-pertussis (BPT) at Day 0 and at Month 3

    The antibodies against BPT assessed were against pertussis toxoid (anti-PT), against filamentous haemagglutinin (anti-FHA), and against pertactin (anti-PRN). Concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and expressed as geometric mean concentrations (GMCs), in ELISA units per milliliter (EL.U/mL). The cut-off of the assay was the seropositivity cut-off value of greater than or equal to (\>=) 5 EL.U/mL. The table shows results for study groups pooled by primary vaccine administered (RTS,S vs Engerix -B)

    Time frame: At Day 0 and at Month 3 (one month post Dose 3 of Infanrix-Hib)

  16. Anti-Rotavirus (Anti-RV) Antibody Concentrations

    Anti-Rotavirus (anti-RV) antibody concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and expressed as geometric mean concentrations (GMCs). The cut-off of the assay was the seropositive cut-off value of greater than or equal to (\>=) 20 units per milliliter (U/mL). This outcome measure was assessed in subjects who were administered Rotarix as part of an EPI regimen, with and without RTS,S vaccine co-administration. This outcome concerns the subjects who received the RTS,S or Engerix-B vaccine co-administered with Rotarix. Results presented are for the study groups pooled by RTS,S or Engerix-B vaccine co-administration, that is, for the RTS,S Regimen B and Engerix-B Regimen B groups.

    Time frame: At Month 3, aka one month post Dose 2 of Rotarix

  17. Number of Subjects With Solicited Local Symptoms

    Assessed solicited local symptoms were pain, redness and swelling at the site of injection. All solicited local symptoms assessed were considered by the investigator as causally related to the study vaccination. Analysis for this outcome was performed solely for the 7-days follow-up periods following the primary vaccination with RTS,S vaccine or Engerix-B (at Day 0, and Months 1 and 2). Data presented are those for any occurrence of the assessed solicited local symptoms, that is, the occurrences of these symptoms regardless of their intensity grade.

    Time frame: Within the 7-day follow-up period (Days 0-6) after administration of Dose (D) 1, 2 and 3, respectively, with RTS,S or Engerix-B vaccine

  18. Number of Subjects With Solicited General Symptoms

    Assessed solicited general symptoms were fever, irritability/fussiness, drowsiness, and loss of appetite. Fever was defined as axillary temperature higher than (\>) 37.5 degrees Celsius (°C). Analysis for this outcome was performed solely for the 7-days follow-up periods following the primary vaccination with RTS,S vaccine or Engerix-B (at Day 0, and Months 1 and 2). Data presented are those for any occurrence of the assessed solicited general symptoms, that is, the occurrences of these symptoms regardless of their intensity grade or relationship to vaccination.

    Time frame: Within the 7-day follow-up period (Days 0-6) after administration of Dose (D) 1, 2 and 3, respectively, with RTS,S or Engerix-B vaccine

  19. Number of Subjects With Potential Immune Mediated Disorders (pIMDs) From Day 0 to Month 8

    A potential immune mediated disorder (pIMD) was defined as an event about which concerns arose that vaccination may have interfered with immunological self-tolerance of the subjects. IMDs assessed included among others neuroinflammatory disorders (such as optic neuritis, multiple sclerosis, or encephalitis), musculoskeletal disorders (such as cutaneous lupus, rheumatoid arthritis, juvenile arthritis, or psoriatic arthropathy), gastrointestinal disorders (ulcerative colitis and ulcerative proctitis, celiac disease), metabolic diseases (such as autoimmune thyroiditis, or diabetes Mellitus Type 1, Addison's disease), skin disorders (such as psoriasis or vitiligo), and other disorders such as vasculitis, pernicious anemia, or, sarcoidosis.

    Time frame: From Day 0 to Month 8

  20. Number of Subjects With Potential Immune Mediated Disorders (pIMDs) From Day 0 to Month 26

    A potential immune mediated disorder (pIMD) was defined as an event about which concerns arose that vaccination may have interfered with immunological self-tolerance of the subjects. IMDs assessed included among others neuroinflammatory disorders (such as optic neuritis, multiple sclerosis, or encephalitis), musculoskeletal disorders (such as cutaneous lupus, rheumatoid arthritis, juvenile arthritis, or psoriatic arthropathy), gastrointestinal disorders (ulcerative colitis and ulcerative proctitis, celiac disease), metabolic diseases (such as autoimmune thyroiditis, or diabetes Mellitus Type 1, Addison's disease), skin disorders (such as psoriasis or vitiligo), and other disorders such as vasculitis, pernicious anemia, or, sarcoidosis.

    Time frame: From Day 0 to Month 26

  21. Number of Subjects With Potential Immune Mediated Disorders (pIMDs) From Day 0 up to Study End (Month 51)

    A potential immune mediated disorder (pIMD) was defined as an event about which concerns arose that vaccination may have interfered with immunological self-tolerance of the subjects. IMDs assessed included among others neuroinflammatory disorders (such as optic neuritis, multiple sclerosis, or encephalitis), musculoskeletal disorders (such as cutaneous lupus, rheumatoid arthritis, juvenile arthritis, or psoriatic arthropathy), gastrointestinal disorders (ulcerative colitis and ulcerative proctitis, celiac disease), metabolic diseases (such as autoimmune thyroiditis, or diabetes Mellitus Type 1, Addison's disease), skin disorders (such as psoriasis or vitiligo), and other disorders such as vasculitis, pernicious anemia, or, sarcoidosis.

    Time frame: From Day 0 up to Study End (Month 51)

  22. Number of Subjects With Unsolicited Adverse Events (AEs)

    An unsolicited AE was defined as an untoward medical occurrence in a patient or clinical investigation subject, temporally associated with use of a medicinal product, whether or not considered related to the medicinal product) reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms.

    Time frame: Within the 30-day follow-up periods (Days 0-29) after vaccination with RTS,S vaccine or Engerix-B

  23. Number of Subjects With Any and Fatal Serious Adverse Events (SAEs) Within the 30-day Follow-up Periods (Days 0-29)

    A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity or a reported adverse event of specific interest such as seizures occurring within a 30-day period of vaccination, immune-mediated disorders, and specific autoimmune diseases. A fatal SAE was defined as a SAE resulting in the death of the study subject.

    Time frame: Within the 30-day follow-up periods (Days 0-29) after vaccination with RTS,S vaccine or Engerix-B

  24. Number of Subjects With Any and Fatal Serious Adverse Events (SAEs) From Day 0 to Month 8

    A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity or a reported adverse event of specific interest such as seizures occurring within a 30-day period of vaccination, immune-mediated disorders, and specific autoimmune diseases. A fatal SAE was defined as a SAE resulting in the death of the study subject.

    Time frame: From Day 0 to Month 8

  25. Number of Subjects With Any and Fatal Serious Adverse Events (SAEs) From Day 0 to Month 26

    A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity or a reported adverse event of specific interest such as seizures occurring within a 30-day period of vaccination, immune-mediated disorders, and specific autoimmune diseases. A fatal SAE was defined as a SAE resulting in the death of the study subject.

    Time frame: From Day 0 to Month 26

  26. Number of Subjects With Any, Fatal and Related Serious Adverse Events (SAEs) From Day 0 up to Study End (Month 51)

    A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity or a reported adverse event of specific interest such as seizures occurring within a 30-day period of vaccination, immune-mediated disorders, and specific autoimmune diseases. A fatal SAE was defined as a SAE resulting in the death of the study subject. A related SAE was defined as a SAE assessed by the investigator as being causally related to vaccination.

    Time frame: From Day 0 up to Study End (Month 51)

07

Results

Posted Feb 10, 2014

Participant flow

The study was conducted in 4 phases, a Primary Vaccination Phase (up to Month (M) 3), a Safety Follow-Up Phase (M3-8), a First Immunogenicity Follow-Up (FU) Phase (M8-26), and a Second Immunogenicity FU Phase (M26 to study end at M51).

Participant flow — Overall Study
MilestoneRTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B Group
Started142142141141139
Completed131128123132129
Not completed111418910
Withdrew: Adverse event35421
Withdrew: Lost to follow-up891479

Outcome measures

PrimaryPercentage of Seroprotected Subjects Against Anti-Hepatitis B (HBs) Antigen

A seroprotected subject was defined as a subject with anti-HBs antibody titers greater than or equal to (\>=) the cut-off of 10 mili-international units per mililiter (mIU/mL). A decrease in the specificity of the anti-HBs ELISA assay had been observed in some studies for low levels of antibody (10-100 mIU/mL). The table shows updated results following partial or complete retesting/reanalysis, with study groups pooled by primary vaccine administered (RTS,S vs Engerix -B).

Time frame:
At Month 3, aka at one month post Dose 3 of RTS,S vaccine or Engerix-B
Reported as:
Number · Percentage of subjects
Percentage of Seroprotected Subjects Against Anti-Hepatitis B (HBs) Antigen
Percentage of subjectsRTS,S GroupEngerix B Group
Percentage of Seroprotected Subjects Against Anti-Hepatitis B (HBs) Antigen100 (99.1 to 100)96 (92.9 to 98.1)
Statistical analysis
  • RTS,S Group vs Engerix B Group · Difference in percent seroprotection: -3.95 · 95% CI -7.12 to -2.16
PrimaryAnti-Hepatitis B (HBs) Antibody Concentrations for RTS,S Group and Engerix B Group

Concentrations, by enzyme-linked immunosorbent assay (ELISA), were presented as geometric mean concentrations (GMCs), and expressed in milli-international units per milliliter (mIU/mL). The assay cut-off was the seropositivity cut-off value of greater than or equal to (\>=) 10 mIU/mL. A decrease in the specificity of the anti-HBs ELISA assay had been observed in some studies for low levels of antibody (10-100 mIU/mL). The table shows updated results following partial or complete retesting/reanalysis, with study groups pooled by primary vaccine administered (RTS,S vs Engerix-B).

Time frame:
At Month 3, aka at one month post Dose 3 of RTS,S vaccine or Engerix-B
Reported as:
Geometric mean · mIU/mL
Anti-Hepatitis B (HBs) Antibody Concentrations for RTS,S Group and Engerix B Group
mIU/mLRTS,S GroupEngerix B Group
Anti-Hepatitis B (HBs) Antibody Concentrations for RTS,S Group and Engerix B Group6412.7 (5732.9 to 7173.0)377.4 (310.6 to 458.7)
PrimaryAnti-Hepatitis B (HBs) Antibody Concentrations for All Study Groups

Concentrations, by enzyme-linked immunosorbent assay (ELISA), were presented as geometric mean concentrations (GMCs), and expressed in milli-international units per milliliter (mIU/mL). The assay cut-off was the seropositivity cut-off value of greater than or equal to (\>=) 10 mIU/mL. A decrease in the specificity of the anti-HBs ELISA assay had been observed in some studies for low levels of antibody (10-100 mIU/mL). The table shows updated results following partial or complete retesting/reanalysis, for each RTS,S Regimen A, B, C and each Engerix B Regimen A and B study groups.

Time frame:
At Month 3, aka at one month post Dose 3 of RTS,S vaccine or Engerix-B
Reported as:
Geometric mean · mIU/mL
Anti-Hepatitis B (HBs) Antibody Concentrations for All Study Groups
mIU/mLRTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B Group
Anti-Hepatitis B (HBs) Antibody Concentrations for All Study Groups5467.6 (4493.8 to 6652.5)6989.9 (5747.5 to 8501.0)6998.7 (5779.1 to 8475.7)334.4 (253.4 to 441.4)433.4 (329.5 to 570.1)
SecondaryAnti-Hepatitis B (HBs) Antibody Concentrations at Month 3

Concentrations, by enzyme-linked immunosorbent assay (ELISA), were presented as geometric mean concentrations (GMCs), and expressed in milli-international units per milliliter (mIU/mL). The assay cut-off was the seropositivity cut-off value of greater than or equal to (\>=) 10 mIU/mL. A decrease in the specificity of the anti-HBs ELISA assay had been observed in some studies for low levels of antibody (10-100 mIU/mL). The table shows updated results following partial or complete retesting/reanalysis. Results presented are for the study groups receiving the RTS,S vaccine, pooled by vaccine lot, that is, for the RTS,S Lot 1, RTS,S Lot 2, and RTS,S Lot 3 groups, as defined below.

Time frame:
At Month 3, aka at one month post Dose 3 of RTS,S vaccine or Engerix-B
Reported as:
Geometric mean · mIU/mL
Anti-Hepatitis B (HBs) Antibody Concentrations at Month 3
mIU/mLRTS,S Lot 1 GroupRTS,S Lot 2 GroupRTS,S Lot 3 Group
Anti-Hepatitis B (HBs) Antibody Concentrations at Month 36214.3 (5115.6 to 7548.9)6826.1 (5569.4 to 8366.3)6209.2 (5144.2 to 7494.8)
Statistical analysis
  • RTS,S Lot 1 Group vs RTS,S Lot 2 Group · ANOVA · Gmc ratio: 0.91 · 95% CI 0.69 to 1.20
  • RTS,S Lot 1 Group vs RTS,S Lot 3 Group · ANOVA · Gmc ratio: 1.00 · 95% CI 0.76 to 1.32
  • RTS,S Lot 2 Group vs RTS,S Lot 3 Group · ANOVA · Gmc ratio: 1.10 · 95% CI 0.84 to 1.45
SecondaryAnti-Hepatitis B (HBs) Antibody Concentrations at Month 14 and 26

Concentrations, by enzyme-linked immunosorbent assay (ELISA), were presented as geometric mean concentrations (GMCs), and expressed in milli-international units per milliliter (mIU/mL). The assay cut-off was the seropositivity cut-off value of greater than or equal to (\>=) 10 mIU/mL. A decrease in the specificity of the anti-HBs ELISA assay had been observed in some studies for low levels of antibody (10-100 mIU/mL). The table shows updated results following partial or complete retesting/reanalysis. Results presented are for each RTS,S Regimen A, B \& C, and for each Engerix B Regimen A \& B study groups.

Time frame:
At Months 14 and 26, aka at 12 and 24 months post Dose 3 of RTS,S vaccine or Engerix-B
Reported as:
Geometric mean · mIU/mL
Anti-Hepatitis B (HBs) Antibody Concentrations at Month 14 and 26
mIU/mLRTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B Group
Anti-HBs - At Month 141530.1 (1259.4 to 1859.1)2430.9 (1975.7 to 2991.0)2189.1 (1840.3 to 2603.9)119.5 (91.0 to 157.0)137.5 (103.3 to 183.2)
Anti-HBs - At Month 261092.6 (867.4 to 1376.3)1896.0 (1487.2 to 2417.3)1849.8 (1478.9 to 2313.6)68.8 (50.7 to 93.3)71.0 (51.6 to 97.8)
SecondaryAnti-Hepatitis B (HBs) Antibody Concentrations at Month 38, 50 and 51

Concentrations, by enzyme-linked immunosorbent assay (ELISA), were presented as geometric mean concentrations (GMCs), and expressed in milli-international units per milliliter (mIU/mL). The assay cut-off was the seropositivity cut-off value of greater than or equal to (\>=) 10 mIU/mL. A decrease in the specificity of the anti-HBs ELISA assay had been observed in some studies for low levels of antibody (10-100 mIU/mL). The table shows updated results following partial or complete retesting/reanalysis. Results presented are for each RTS,S Regimen A, B \& C, and for each Engerix B Regimen A \& B study groups.

Time frame:
At Months 38, 50 and 51, aka 36 and 48 months post Dose 3 of RTS,S vaccine or Engerix-B and one month post the Month 50 booster dose of Engerix-B
Reported as:
Geometric mean · mIU/mL
Anti-Hepatitis B (HBs) Antibody Concentrations at Month 38, 50 and 51
mIU/mLRTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B Group
Month 38706.8 (548.0 to 911.6)1081.7 (845.3 to 1384.2)977.4 (786.7 to 1214.3)39.0 (29.0 to 52.4)41.2 (29.8 to 57.0)
Month 50499.4 (382.2 to 652.6)765.3 (590.5 to 992.0)807.3 (649.6 to 1003.4)29.2 (22.0 to 38.7)32.9 (23.9 to 45.4)
Month 5132345.9 (24758.5 to 42258.4)54977.1 (43579.1 to 69356.4)59630.0 (48606.1 to 73154.0)8995.0 (5935.8 to 13631.0)9578.9 (6374.2 to 14395.0)
SecondaryConcentrations of Antibodies to the Hepatitis B RF1 Surface Antigen (Anti-HBs RF1) at Month 3

Anti-HBs RF1 antibody concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and presented as geometric mean concentrations (GMCs) expressed in ELISA units per milliliter (EL.U/mL). The assay cut-off was the seropositivity cut-off value of greater than or equal to (\>=) 33 EL.U/mL. The table shows results for each RTS,S Regimen A, B \& C, and for each Engerix B Regimen A \& B study groups.

Time frame:
At Month 3, aka at one month post Dose 3 of RTS,S vaccine or Engerix-B
Reported as:
Geometric mean · EL.U/mL
Concentrations of Antibodies to the Hepatitis B RF1 Surface Antigen (Anti-HBs RF1) at Month 3
EL.U/mLRTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B Group
Concentrations of Antibodies to the Hepatitis B RF1 Surface Antigen (Anti-HBs RF1) at Month 3268.7 (226.8 to 318.3)327.1 (272.2 to 393.1)335.5 (283.2 to 397.5)25.5 (22.8 to 28.7)28.7 (24.6 to 33.4)
SecondaryConcentrations of Antibodies to the Hepatitis B RF1 Surface Antigen (Anti-HBs RF1) at Month 51

Anti-HBs RF1 antibody concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and presented as geometric mean concentrations (GMCs) expressed in ELISA units per milliliter (EL.U/mL). The assay cut-off was the seropositivity cut-off value of greater than or equal to (\>=) 33 EL.U/mL. The table shows results for each RTS,S Regimen A, B \& C, and for each Engerix B Regimen A \& B study groups.

Time frame:
At Month 51, aka one month post the Month 50 booster dose of Engerix-B
Reported as:
Geometric mean · EL.U/mL
Concentrations of Antibodies to the Hepatitis B RF1 Surface Antigen (Anti-HBs RF1) at Month 51
EL.U/mLRTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B Group
Concentrations of Antibodies to the Hepatitis B RF1 Surface Antigen (Anti-HBs RF1) at Month 51307.8 (239.0 to 396.4)471.6 (372.5 to 597.1)514.5 (415.3 to 637.5)120.5 (86.6 to 167.6)127.9 (94.5 to 173.1)
SecondaryAnti-circumsporozoite Protein (Anti-CS) Antibody Concentrations at Month 3

Anti-CS antibody concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and presented as geometric mean concentrations (GMCs) expressed in ELISA units per milliliter (EL.U/mL). The assay cut-off was the seropositivity cut-off value of greater than or equal to (\>=) 0.5 EL.U/mL. The table shows results for each RTS,S Regimen A, B \& C, and for each Engerix B Regimen A \& B study groups.

Time frame:
At Month 3, aka at one month post Dose 3 of RTS,S vaccine or Engerix-B
Reported as:
Geometric mean · EL.U/mL
Anti-circumsporozoite Protein (Anti-CS) Antibody Concentrations at Month 3
EL.U/mLRTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B Group
Anti-circumsporozoite Protein (Anti-CS) Antibody Concentrations at Month 3142.2 (116.4 to 173.7)188.5 (156.5 to 227.0)205.5 (167.3 to 252.5)0.3 (0.3 to 0.3)0.3 (0.3 to 0.4)
SecondaryAnti-circumsporozoite Protein (Anti-CS) Antibody Concentrations at Month 14

Anti-CS antibody concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and presented as geometric mean concentrations (GMCs) expressed in ELISA units per milliliter (EL.U/mL). The assay cut-off was the seropositivity cut-off value of greater than or equal to (\>=) 0.5 EL.U/mL. The table shows results for each RTS,S Regimen A, B \& C, and for each Engerix B Regimen A \& B study groups. No anti-CS results are available for the time point 24 months post Dose 3 (Month 26) because the quantity of serum available for the anti-CS assay was insufficient for many samples.

Time frame:
At Month 14, aka at 12 months post Dose 3 of RTS,S vaccine or Engerix-B
Reported as:
Geometric mean · EL.U/mL
Anti-circumsporozoite Protein (Anti-CS) Antibody Concentrations at Month 14
EL.U/mLRTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B Group
Anti-circumsporozoite Protein (Anti-CS) Antibody Concentrations at Month 145.7 (4.2 to 7.7)6.8 (5.0 to 9.4)7.5 (5.3 to 10.6)0.3 (0.3 to 0.3)0.3 (0.3 to 0.4)
SecondaryAnti-circumsporozoite Protein (Anti-CS) Antibody Concentrations at Month 38 and 50

Anti-CS antibody concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and presented as geometric mean concentrations (GMCs) expressed in ELISA units per milliliter (EL.U/mL). The assay cut-off was the seropositivity cut-off value of greater than or equal to (\>=) 1.9 EL.U/mL. The table shows results for each RTS,S Regimen A, B \& C, and for each Engerix B Regimen A \& B study groups.

Time frame:
At Months 38 and 50, aka 36 and 48 months post Dose 3 of RTS,S vaccine or Engerix-B
Reported as:
Geometric mean · EL.U/mL
Anti-circumsporozoite Protein (Anti-CS) Antibody Concentrations at Month 38 and 50
EL.U/mLRTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B Group
Month 382.6 (2.2 to 3.1)2.8 (2.3 to 3.4)3.5 (2.9 to 4.2)1.0 (1.0 to 1.1)1.0 (1.0 to 1.0)
Month 502.3 (2.0 to 2.7)2.4 (2.0 to 2.8)2.7 (2.3 to 3.2)1.1 (1.0 to 1.1)1.1 (1.0 to 1.3)
SecondaryPneumococcal Antibody Concentrations Against Synflorix Pneumococcal Vaccine Serotypes at Month 3

Antibody concentrations were measured by enzyme-linked immunosorbent assay (ELISA), and expressed as geometric mean concentrations (GMCs), in micrograms per milliliter (µg/mL). The pneumococcal vaccine serotypes assessed were the serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F. The cut-off of the assay, by GSK assay, was greater than or equal to (\>=) 0.2 µg/mL. This corresponds to the standard ELISA value of 0.35 μg/mL. This outcome concerns the subjects who received the RTS,S or Engerix-B vaccine co-administered with Synflorix. Results presented are for the study groups pooled by co-administration, that is, for the RTS,S Regimen A and Engerix-B Regimen A groups.

Time frame:
At Month 3, aka at one month post Dose 3 of Synflorix
Reported as:
Geometric mean · µg/mL
Pneumococcal Antibody Concentrations Against Synflorix Pneumococcal Vaccine Serotypes at Month 3
µg/mLRTS,S Regimen A GroupEngerix B Regimen A Group
ANTI-13.1 (2.8 to 3.6)3.6 (3.1 to 4.2)
ANTI-43.5 (3.0 to 4.0)4.2 (3.5 to 4.9)
ANTI-55.1 (4.5 to 5.8)6.5 (5.6 to 7.4)
ANTI-6B1.1 (0.8 to 1.3)1.2 (1.0 to 1.6)
ANTI-7F4.4 (3.9 to 4.9)4.9 (4.3 to 5.7)
ANTI-9V2.8 (2.4 to 3.3)3.7 (3.3 to 4.2)
ANTI-145.8 (5.0 to 6.7)5.7 (4.7 to 7.0)
ANTI-18C3.4 (2.8 to 4.1)6.2 (5.1 to 7.5)
ANTI-19F4.2 (3.4 to 5.2)5.1 (4.1 to 6.4)
ANTI-23F1.3 (1.1 to 1.6)1.5 (1.1 to 1.9)
Statistical analysis
  • RTS,S Regimen A Group vs Engerix B Regimen A Group · ANOVA · Gmc ratio: 1.15 · 95% CI 0.95 to 1.39
  • RTS,S Regimen A Group vs Engerix B Regimen A Group · ANOVA · Gmc ratio: 1.20 · 95% CI 0.97 to 1.48
  • RTS,S Regimen A Group vs Engerix B Regimen A Group · ANOVA · Gmc ratio: 1.27 · 95% CI 1.06 to 1.52
  • RTS,S Regimen A Group vs Engerix B Regimen A Group · ANOVA · Gmc ratio: 1.17 · 95% CI 0.83 to 1.65
  • RTS,S Regimen A Group vs Engerix B Regimen A Group · ANOVA · Gmc ratio: 1.12 · 95% CI 0.94 to 1.33
  • RTS,S Regimen A Group vs Engerix B Regimen A Group · ANOVA · Gmc ratio: 1.32 · 95% CI 1.08 to 1.63
  • RTS,S Regimen A Group vs Engerix B Regimen A Group · ANOVA · Gmc ratio: 0.99 · 95% CI 0.77 to 1.27
  • RTS,S Regimen A Group vs Engerix B Regimen A Group · ANOVA · Gmc ratio: 1.81 · 95% CI 1.38 to 2.38
  • RTS,S Regimen A Group vs Engerix B Regimen A Group · ANOVA · Gmc ratio: 1.21 · 95% CI 0.89 to 1.65
  • RTS,S Regimen A Group vs Engerix B Regimen A Group · ANOVA · Gmc ratio: 1.12 · 95% CI 0.81 to 1.55
SecondaryPneumococcal Antibody Concentrations Against Synflorix Pneumococcal Vaccine Serotypes at Month 17

Antibody concentrations were measured by GSK assay, and expressed as geometric mean concentrations (GMCs), in micrograms per milliliter (µg/mL). The pneumococcal vaccine serotypes assessed were the serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F. The cut-off of the assay, by GSK assay, was greater than or equal to (\>=) 0.2 μg/mL. This corresponds to the standard ELISA value of 0.35 μg/mL. This outcome concerns the subjects who received the RTS,S or Engerix -B vaccine co-administered with Synflorix. Results presented are for the study groups pooled by co-administration, that is, for the RTS,S Regimen A and Engerix -B Regimen A groups.

Time frame:
At Month 17, aka one month post the Month 16 booster dose of Synflorix
Reported as:
Geometric mean · μg/mL
Pneumococcal Antibody Concentrations Against Synflorix Pneumococcal Vaccine Serotypes at Month 17
μg/mLRTS,S Regimen A GroupEngerix B Regimen A Group
ANTI-14.5 (3.8 to 5.4)5.4 (4.5 to 6.4)
ANTI-46.1 (5.1 to 7.2)6.8 (5.7 to 8.0)
ANTI-56.5 (5.5 to 7.8)7.6 (6.4 to 9.1)
ANTI-6B4.7 (4.0 to 5.5)4.1 (3.5 to 4.9)
ANTI-7F7.1 (6.2 to 8.2)7.2 (6.3 to 8.2)
ANTI-9V6.0 (5.1 to 7.1)5.7 (4.9 to 6.6)
ANTI-149.0 (7.6 to 10.7)9.0 (7.4 to 10.8)
ANTI-18C13.7 (11.5 to 16.3)14.5 (12.3 to 17.2)
ANTI-19F6.0 (4.9 to 7.4)7.2 (5.8 to 8.8)
ANTI-23F4.1 (3.4 to 5.1)3.9 (3.2 to 4.8)
SecondaryTiters for Opsonophagocytic Activity Against Synflorix Pneumococcal Vaccine Serotypes at Month 3

The pneumococcal vaccine serotypes assessed were the serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F. Streptococcus pneumoniae opsonophagocytic activity was presented as the dilution of serum (opsonic titer) able to sustain 50 % killing of live pneumococci under the assay conditions, expressed as geometric mean titers (GMTs). The cut-off of the assay was an opsonic dilution \>= 8. This outcome concerns the subjects who received the RTS,S or Engerix-B vaccine co-administered with Synflorix. Results presented are for the study groups pooled by co-administration, that is, for the RTS,S Regimen A and Engerix-B Regimen A groups.

Time frame:
At Month 3, aka at one month (1M) post Dose 3 of Synflorix
Reported as:
Geometric mean · Titer
Titers for Opsonophagocytic Activity Against Synflorix Pneumococcal Vaccine Serotypes at Month 3
TiterRTS,S Regimen A GroupEngerix B Regimen A Group
OPSONO-148.9 (34.6 to 68.9)65.0 (45.0 to 93.7)
OPSONO-4768.3 (617.6 to 955.8)810.9 (676.5 to 972.0)
OPSONO-577.6 (61.9 to 97.3)93.8 (73.6 to 119.6)
OPSONO-6B444.4 (295.0 to 669.5)389.3 (250.1 to 606.1)
OPSONO-7F3774.0 (3232.7 to 4405.8)3947.4 (3338.3 to 4667.7)
OPSONO-9V1257.7 (977.3 to 1618.7)1469.3 (1180.4 to 1828.8)
OPSONO-141426.3 (1136.0 to 1790.9)1269.0 (965.1 to 1668.6)
OPSONO-18C192.6 (139.2 to 266.4)249.7 (185.0 to 337.0)
OPSONO-19F159.3 (109.9 to 231.0)228.8 (160.4 to 326.3)
OPSONO-23F760.9 (476.3 to 1215.5)735.6 (456.3 to 1185.9)
SecondaryTiters for Opsonophagocytic Activity Against Synflorix Pneumococcal Vaccine Serotypes at Month 17

The pneumococcal vaccine serotypes assessed were the serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F. Streptococcus pneumoniae opsonophagocytic activity was presented as the dilution of serum (opsonic titer) able to sustain 50 % killing of live pneumococci under the assay conditions, expressed as geometric mean titers (GMTs). The cut-off of the assay was an opsonic dilution \>= 8. This outcome concerns the subjects who received the RTS,S or Engerix -B vaccine co-administered with Synflorix . Results presented are for the study groups pooled by co-administration, that is, for the RTS,S Regimen A and Engerix -B Regimen A groups.

Time frame:
At Month 17, aka one month post the Month 16 booster dose of Synflorix
Reported as:
Geometric mean · Titer
Titers for Opsonophagocytic Activity Against Synflorix Pneumococcal Vaccine Serotypes at Month 17
TiterRTS,S Regimen A GroupEngerix B Regimen A Group
OPSONO-1649.9 (464.7 to 908.9)840.1 (603.4 to 1169.7)
OPSONO-42347.1 (1847.4 to 2982.0)2527.8 (2064.1 to 3095.7)
OPSONO-5324.2 (244.1 to 430.5)392.8 (291.3 to 529.6)
OPSONO-6B955.3 (761.4 to 1198.6)828.2 (652.7 to 1050.9)
OPSONO-7F9167.3 (7979.2 to 10532.3)7794.6 (6577.6 to 9236.8)
OPSONO-9V3035.3 (2523.3 to 3651.3)3164.6 (2669.8 to 3751.1)
OPSONO-141975.7 (1565.8 to 2493.0)1865.0 (1463.9 to 2375.9)
OPSONO-18C1694.1 (1188.6 to 2414.7)1548.7 (1096.3 to 2188.0)
OPSONO-19F344.5 (223.0 to 532.3)469.7 (320.0 to 689.4)
OPSONO-23F3199.8 (2543.7 to 4025.1)3198.1 (2526.5 to 4048.4)
SecondaryAnti-protein D (PD) Antibody Concentrations at Month 3

Anti-PD antibody concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and expressed as geometric mean concentrations (GMCs), in ELISA units per milliliter (EL.U/mL). The cut-off of the assay was the seropositivity cut-off value of greater than or equal to 100 EL.U/mL. This outcome concerns the subjects who received the RTS,S or Engerix-B vaccine co-administered with Synflorix. Results presented are for the study groups pooled by co-administration, that is, for the RTS,S Regimen A and Engerix-B Regimen A groups.

Time frame:
At Month 3, aka at one month post Dose 3 of Synflorix
Reported as:
Geometric mean · EL.U/mL
Anti-protein D (PD) Antibody Concentrations at Month 3
EL.U/mLRTS,S Regimen A GroupEngerix B Regimen A Group
Anti-protein D (PD) Antibody Concentrations at Month 32435.3 (2204.3 to 2690.6)2956.7 (2647.5 to 3302.1)
SecondaryAnti-protein D (PD) Antibody Concentrations at Month 17

Anti-PD antibody concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and expressed as geometric mean concentrations (GMCs), in ELISA units per milliliter (EL.U/mL). The cut-off of the assay was the seropositivity cut-off value of greater than or equal to 100 EL.U/mL. This outcome concerns the subjects who received the RTS,S or Engerix -B vaccine co-administered with Synflorix. Results presented are for the study groups pooled by co-administration, that is, for the RTS,S Regimen A and Engerix -B Regimen A groups.

Time frame:
At Month 17, aka one month post the Month 16 booster dose of Synflorix
Reported as:
Geometric mean · EL.U/mL
Anti-protein D (PD) Antibody Concentrations at Month 17
EL.U/mLRTS,S Regimen A GroupEngerix B Regimen A Group
Anti-protein D (PD) Antibody Concentrations at Month 172648.3 (2194.2 to 3196.4)2819.1 (2391.1 to 3323.7)
SecondaryConcentrations of Antibodies Against Acellular B-pertussis (BPT) at Day 0 and at Month 3

The antibodies against BPT assessed were against pertussis toxoid (anti-PT), against filamentous haemagglutinin (anti-FHA), and against pertactin (anti-PRN). Concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and expressed as geometric mean concentrations (GMCs), in ELISA units per milliliter (EL.U/mL). The cut-off of the assay was the seropositivity cut-off value of greater than or equal to (\>=) 5 EL.U/mL. The table shows results for study groups pooled by primary vaccine administered (RTS,S vs Engerix -B)

Time frame:
At Day 0 and at Month 3 (one month post Dose 3 of Infanrix-Hib)
Reported as:
Geometric mean · EL.U/mL
Concentrations of Antibodies Against Acellular B-pertussis (BPT) at Day 0 and at Month 3
EL.U/mLRTS,S GroupEngerix B Group
Anti-PT - At Day 03.8 (3.6 to 4.1)4.3 (3.9 to 4.8)
Anti-PT - At Month 3105.9 (99.2 to 113.1)114.2 (104.8 to 124.5)
Anti-FHA - At Day 013.9 (12.7 to 15.2)15.7 (14.1 to 17.5)
Anti-FHA - At Month 3271.1 (252.8 to 290.8)292.9 (268.9 to 319.1)
Anti-PRN - At Day 03.2 (3.0 to 3.4)3.2 (3.0 to 3.5)
Anti-PRN - At Month 3164.1 (153.6 to 175.3)179.7 (164.4 to 196.5)
Statistical analysis
  • RTS,S Group vs Engerix B Group · ANOVA · Gmc ratio: 1.08 · 95% CI 0.97 to 1.20
  • RTS,S Group vs Engerix B Group · ANOVA · Gmc ratio: 1.08 · 95% CI 0.97 to 1.21
  • RTS,S Group vs Engerix B Group · ANOVA · Gmc ratio: 1.10 · 95% CI 0.98 to 1.22
SecondaryAnti-Rotavirus (Anti-RV) Antibody Concentrations

Anti-Rotavirus (anti-RV) antibody concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and expressed as geometric mean concentrations (GMCs). The cut-off of the assay was the seropositive cut-off value of greater than or equal to (\>=) 20 units per milliliter (U/mL). This outcome measure was assessed in subjects who were administered Rotarix as part of an EPI regimen, with and without RTS,S vaccine co-administration. This outcome concerns the subjects who received the RTS,S or Engerix-B vaccine co-administered with Rotarix. Results presented are for the study groups pooled by RTS,S or Engerix-B vaccine co-administration, that is, for the RTS,S Regimen B and Engerix-B Regimen B groups.

Time frame:
At Month 3, aka one month post Dose 2 of Rotarix
Reported as:
Geometric mean · U/mL
Anti-Rotavirus (Anti-RV) Antibody Concentrations
U/mLRTS,S Regimen B GroupEngerix B Regimen B Group
Anti-Rotavirus (Anti-RV) Antibody Concentrations24.9 (19.3 to 32.0)27.6 (20.8 to 36.5)
Statistical analysis
  • RTS,S Regimen B Group vs Engerix B Regimen B Group · ANOVA · Gmc ratio: 1.11 · 95% CI 0.76 to 1.61
SecondaryNumber of Subjects With Solicited Local Symptoms

Assessed solicited local symptoms were pain, redness and swelling at the site of injection. All solicited local symptoms assessed were considered by the investigator as causally related to the study vaccination. Analysis for this outcome was performed solely for the 7-days follow-up periods following the primary vaccination with RTS,S vaccine or Engerix-B (at Day 0, and Months 1 and 2). Data presented are those for any occurrence of the assessed solicited local symptoms, that is, the occurrences of these symptoms regardless of their intensity grade.

Time frame:
Within the 7-day follow-up period (Days 0-6) after administration of Dose (D) 1, 2 and 3, respectively, with RTS,S or Engerix-B vaccine
Reported as:
Count of participants · Participants
Number of Subjects With Solicited Local Symptoms
ParticipantsRTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B Group
Pain - Post D14128312915
Pain - Post D2301421249
Pain - Post D3141014187
Redness - Post D110251
Redness - Post D251230
Redness - Post D330130
Swelling - Post D1526104
Swelling - Post D283494
Swelling - Post D3726113
SecondaryNumber of Subjects With Solicited General Symptoms

Assessed solicited general symptoms were fever, irritability/fussiness, drowsiness, and loss of appetite. Fever was defined as axillary temperature higher than (\>) 37.5 degrees Celsius (°C). Analysis for this outcome was performed solely for the 7-days follow-up periods following the primary vaccination with RTS,S vaccine or Engerix-B (at Day 0, and Months 1 and 2). Data presented are those for any occurrence of the assessed solicited general symptoms, that is, the occurrences of these symptoms regardless of their intensity grade or relationship to vaccination.

Time frame:
Within the 7-day follow-up period (Days 0-6) after administration of Dose (D) 1, 2 and 3, respectively, with RTS,S or Engerix-B vaccine
Reported as:
Count of participants · Participants
Number of Subjects With Solicited General Symptoms
ParticipantsRTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B Group
Fever - D14420162313
Fever - D2301418205
Fever - D33820261612
Irritability - D115111195
Irritability - D213712100
Irritability - D3531061
Drowsiness - D121330
Drowsiness - D251130
Drowsiness - D330210
Loss of appetite - D141240
Loss of appetite - D231130
Loss of appetite - D320111
SecondaryNumber of Subjects With Potential Immune Mediated Disorders (pIMDs) From Day 0 to Month 8

A potential immune mediated disorder (pIMD) was defined as an event about which concerns arose that vaccination may have interfered with immunological self-tolerance of the subjects. IMDs assessed included among others neuroinflammatory disorders (such as optic neuritis, multiple sclerosis, or encephalitis), musculoskeletal disorders (such as cutaneous lupus, rheumatoid arthritis, juvenile arthritis, or psoriatic arthropathy), gastrointestinal disorders (ulcerative colitis and ulcerative proctitis, celiac disease), metabolic diseases (such as autoimmune thyroiditis, or diabetes Mellitus Type 1, Addison's disease), skin disorders (such as psoriasis or vitiligo), and other disorders such as vasculitis, pernicious anemia, or, sarcoidosis.

Time frame:
From Day 0 to Month 8
Reported as:
Count of participants · Participants
Number of Subjects With Potential Immune Mediated Disorders (pIMDs) From Day 0 to Month 8
ParticipantsRTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B Group
Number of Subjects With Potential Immune Mediated Disorders (pIMDs) From Day 0 to Month 800000
SecondaryNumber of Subjects With Potential Immune Mediated Disorders (pIMDs) From Day 0 to Month 26

A potential immune mediated disorder (pIMD) was defined as an event about which concerns arose that vaccination may have interfered with immunological self-tolerance of the subjects. IMDs assessed included among others neuroinflammatory disorders (such as optic neuritis, multiple sclerosis, or encephalitis), musculoskeletal disorders (such as cutaneous lupus, rheumatoid arthritis, juvenile arthritis, or psoriatic arthropathy), gastrointestinal disorders (ulcerative colitis and ulcerative proctitis, celiac disease), metabolic diseases (such as autoimmune thyroiditis, or diabetes Mellitus Type 1, Addison's disease), skin disorders (such as psoriasis or vitiligo), and other disorders such as vasculitis, pernicious anemia, or, sarcoidosis.

Time frame:
From Day 0 to Month 26
Reported as:
Count of participants · Participants
Number of Subjects With Potential Immune Mediated Disorders (pIMDs) From Day 0 to Month 26
ParticipantsRTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B Group
Number of Subjects With Potential Immune Mediated Disorders (pIMDs) From Day 0 to Month 2600000
SecondaryNumber of Subjects With Potential Immune Mediated Disorders (pIMDs) From Day 0 up to Study End (Month 51)

A potential immune mediated disorder (pIMD) was defined as an event about which concerns arose that vaccination may have interfered with immunological self-tolerance of the subjects. IMDs assessed included among others neuroinflammatory disorders (such as optic neuritis, multiple sclerosis, or encephalitis), musculoskeletal disorders (such as cutaneous lupus, rheumatoid arthritis, juvenile arthritis, or psoriatic arthropathy), gastrointestinal disorders (ulcerative colitis and ulcerative proctitis, celiac disease), metabolic diseases (such as autoimmune thyroiditis, or diabetes Mellitus Type 1, Addison's disease), skin disorders (such as psoriasis or vitiligo), and other disorders such as vasculitis, pernicious anemia, or, sarcoidosis.

Time frame:
From Day 0 up to Study End (Month 51)
Reported as:
Count of participants · Participants
Number of Subjects With Potential Immune Mediated Disorders (pIMDs) From Day 0 up to Study End (Month 51)
ParticipantsRTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B Group
Number of Subjects With Potential Immune Mediated Disorders (pIMDs) From Day 0 up to Study End (Month 51)00000
SecondaryNumber of Subjects With Unsolicited Adverse Events (AEs)

An unsolicited AE was defined as an untoward medical occurrence in a patient or clinical investigation subject, temporally associated with use of a medicinal product, whether or not considered related to the medicinal product) reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms.

Time frame:
Within the 30-day follow-up periods (Days 0-29) after vaccination with RTS,S vaccine or Engerix-B
Reported as:
Count of participants · Participants
Number of Subjects With Unsolicited Adverse Events (AEs)
ParticipantsRTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B Group
Number of Subjects With Unsolicited Adverse Events (AEs)121115120120105
SecondaryNumber of Subjects With Any and Fatal Serious Adverse Events (SAEs) Within the 30-day Follow-up Periods (Days 0-29)

A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity or a reported adverse event of specific interest such as seizures occurring within a 30-day period of vaccination, immune-mediated disorders, and specific autoimmune diseases. A fatal SAE was defined as a SAE resulting in the death of the study subject.

Time frame:
Within the 30-day follow-up periods (Days 0-29) after vaccination with RTS,S vaccine or Engerix-B
Reported as:
Count of participants · Participants
Number of Subjects With Any and Fatal Serious Adverse Events (SAEs) Within the 30-day Follow-up Periods (Days 0-29)
ParticipantsRTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B Group
Subject with SAE(s)13313
Subjects with fatal SAE(s)10100
SecondaryNumber of Subjects With Any and Fatal Serious Adverse Events (SAEs) From Day 0 to Month 8

A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity or a reported adverse event of specific interest such as seizures occurring within a 30-day period of vaccination, immune-mediated disorders, and specific autoimmune diseases. A fatal SAE was defined as a SAE resulting in the death of the study subject.

Time frame:
From Day 0 to Month 8
Reported as:
Count of participants · Participants
Number of Subjects With Any and Fatal Serious Adverse Events (SAEs) From Day 0 to Month 8
ParticipantsRTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B Group
Subjects with SAE(s)17735
Subjects with fatal SAE(s)12200
SecondaryNumber of Subjects With Any and Fatal Serious Adverse Events (SAEs) From Day 0 to Month 26

A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity or a reported adverse event of specific interest such as seizures occurring within a 30-day period of vaccination, immune-mediated disorders, and specific autoimmune diseases. A fatal SAE was defined as a SAE resulting in the death of the study subject.

Time frame:
From Day 0 to Month 26
Reported as:
Count of participants · Participants
Number of Subjects With Any and Fatal Serious Adverse Events (SAEs) From Day 0 to Month 26
ParticipantsRTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B Group
Any SAEs - At Month 2618766
Fatal SAEs - At Month 2613221
SecondaryNumber of Subjects With Any, Fatal and Related Serious Adverse Events (SAEs) From Day 0 up to Study End (Month 51)

A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity or a reported adverse event of specific interest such as seizures occurring within a 30-day period of vaccination, immune-mediated disorders, and specific autoimmune diseases. A fatal SAE was defined as a SAE resulting in the death of the study subject. A related SAE was defined as a SAE assessed by the investigator as being causally related to vaccination.

Time frame:
From Day 0 up to Study End (Month 51)
Reported as:
Count of participants · Participants
Number of Subjects With Any, Fatal and Related Serious Adverse Events (SAEs) From Day 0 up to Study End (Month 51)
ParticipantsRTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B Group
Any SAEs310966
Fatal SAEs35421

Adverse events

Collected over Solicited local, general symptoms and unsolicited AEs: within the 30-day periods after primary co-administration vaccination. SAEs: during the entire study period (Month 0 to Month 51).. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
RTS,S Regimen A Group3/142 (2.1%)3/142 (2.1%)135/142 (95.1%)
RTS,S Regimen B Group5/142 (3.5%)10/142 (7%)129/142 (90.8%)
RTS,S Regimen C Group4/141 (2.8%)9/141 (6.4%)132/141 (93.6%)
Engerix B Regimen A Group2/141 (1.4%)6/141 (4.3%)135/141 (95.7%)
Engerix B Regimen B Group1/139 (0.7%)6/139 (4.3%)119/139 (85.6%)
Most frequent serious events
Showing 10 of 26
Most frequent serious events
EventRTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B Group
AnaemiaBlood and lymphatic system disorders1/1420/1421/1413/1412/139
GastroenteritisInfections and infestations1/1421/1422/1410/1411/139
MalariaInfections and infestations1/1422/1422/1412/1411/139
PneumoniaInfections and infestations1/1422/1422/1412/1411/139
BronchiolitisInfections and infestations0/1420/1420/1410/1411/139
BronchitisInfections and infestations0/1421/1421/1410/1411/139
Escherichia urinary tract infectionInfections and infestations0/1420/1420/1410/1411/139
Febrile convulsionNervous system disorders0/1421/1421/1411/1411/139
Hypertrophic cardiomyopathyCongenital, familial and genetic disorders0/1420/1421/1410/1410/139
Gastrointestinal haemorrhageGastrointestinal disorders0/1420/1420/1411/1410/139
Most frequent other events
Showing 10 of 77
Most frequent other events
EventRTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B Group
PyrexiaGeneral disorders81/14249/14250/14155/14134/139
PainGeneral disorders55/14240/14247/14148/14125/139
GastroenteritisInfections and infestations42/14247/14251/14143/14138/139
MalariaInfections and infestations44/14244/14239/14149/14144/139
BronchitisInfections and infestations36/14233/14228/14128/14129/139
RhinitisInfections and infestations32/14235/14233/14131/14131/139
IrritabilityPsychiatric disorders28/14218/14227/14119/1415/139
SwellingGeneral disorders17/1427/14214/14123/14110/139
PharyngitisInfections and infestations23/14213/14215/14115/14117/139
ErythemaSkin and subcutaneous tissue disorders19/1428/14220/14112/1416/139

Baseline characteristics

Age, Continuous
Age, Continuous(Weeks)RTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B GroupTotal
Mean8.4 ± 0.838.3 ± 0.628.3 ± 0.698.3 ± 0.748.3 ± 0.748.32 ± 0.73
Sex: Female, Male
Sex: Female, Male(Participants)RTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B GroupTotal
Female5969678163339
Male8373746076366
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)RTS,S Regimen A GroupRTS,S Regimen B GroupRTS,S Regimen C GroupEngerix B Regimen A GroupEngerix B Regimen B GroupTotal
African Heritage/African American142142141141139705
08

Study locations

2 sites
  • GSK Investigational Site
    Ouagadougou 01, Burkina Faso
  • GSK Investigational Site
    Kumasi, Ghana
09

References and documents

Publications

  • Valea I, Adjei S, Usuf E, Traore O, Ansong D, Tinto H, Owusu Boateng H, Leach A, Mwinessobaonfou Some A, Buabeng P, Vekemans J, Nana LA, Kotey A, Vandoolaeghe P, Ouedraogo F, Sambian D, Lievens M, Tahita MC, Rettig T, Jongert E, Lompo P, Idriss A, Borys D, Ouedraogo S, Prempeh F, Habib MA, Schuerman L, Sorgho H, Agbenyega T. Immune response to the hepatitis B antigen in the RTS,S/AS01 malaria vaccine, and co-administration with pneumococcal conjugate and rotavirus vaccines in African children: A randomized controlled trial. Hum Vaccin Immunother. 2018 Jun 3;14(6):1489-1500. doi: 10.1080/21645515.2018.1442996. Epub 2018 Apr 13. PubMed 29630438 ↗

Study documents

  • Study protocol · May 13, 2014

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — IPD is available via the Clinical Study Data Request site (click on the link provided below).

Supporting information: Study protocol, Sap, Icf, Csr

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 18, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01345240
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
May 2, 2011
Start date
Nov 17, 2011
Primary completion
Jan 9, 2013
Completion
Feb 9, 2017
Results posted
Feb 10, 2014
Last update
Jul 18, 2019

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2019. You cannot join it, but the record below documents what was studied.

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Discussion

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